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不同运动训练方案对超重/肥胖高血压成年人心肺适能的影响:一项试点研究。

Effects of Different Exercise Training Programs on Cardiorespiratory Fitness in Overweight/Obese Adults With Hypertension: A Pilot Study.

作者信息

Jurio-Iriarte Borja, Maldonado-Martín Sara

机构信息

1 University of the Basque Country (UPV/EHU), Vitoria-Gasteiz, Basque Country, Spain.

出版信息

Health Promot Pract. 2019 May;20(3):390-400. doi: 10.1177/1524839918774310. Epub 2018 May 9.

Abstract

The goal of the study was to compare the effects of two supervised aerobic exercise programs (moderate-intensity continuous training [MICT] vs. high-intensity interval training [HIIT]) after 8-, 12-, and 16-week intervention periods on cardiorespiratory fitness (CRF) in overweight/obese adults diagnosed with hypertension. Participants ( N = 64) were divided into three intervention cohorts (control group [CG], MICT, and HIIT) and each of these, in turn, into three intervention length cohorts (8, 12, and 16 weeks). Supervised groups exercised twice a week. There were no statistical changes in postintervention periods in CG ( g < 0.1). CRF as assessed by peak oxygen uptake (mL kg·min) increased ( p < .001) in exercise groups (MICT, 3.8 ± 3.3, g = 0.6; HIIT, 4.2 ± 4.7, g = 0.7). The effect of exercise interventions compared with CG was substantial ( p < .02, g > .8) and mostly consequence of HIIT-related effects. The improvements on CRF occurred after 12 and 16 weeks in exercise interventions, rather than in the 8-week group or CG, where Hedges's g index indicated small effect. This study may suggest that both MICT and HIIT exert cardioprotector effects on hypertension in the overweight/obese population. However, short-term training duration (<12 weeks) does not seem to improve CRF, and HIIT intervention might generate higher aerobic capacity, which seems to grow as intervention lengthens.

摘要

本研究的目的是比较两种有监督的有氧运动计划(中等强度持续训练[MICT]与高强度间歇训练[HIIT])在8周、12周和16周干预期后,对被诊断为高血压的超重/肥胖成年人的心肺适能(CRF)的影响。参与者(N = 64)被分为三个干预队列(对照组[CG]、MICT组和HIIT组),且每个队列又依次分为三个干预时长队列(8周、12周和16周)。有监督的组每周锻炼两次。CG组干预后期间无统计学变化(g < 0.1)。运动组(MICT组,3.8 ± 3.3,g = 0.6;HIIT组,4.2 ± 4.7,g = 0.7)通过峰值摄氧量(mL kg·min)评估的CRF有所增加(p < .001)。与CG组相比,运动干预的效果显著(p < .02,g > .8),且主要是HIIT相关效应的结果。运动干预在12周和16周后心肺适能得到改善,而在8周组或CG组中未出现改善,后者的Hedges's g指数显示效果较小。本研究可能表明,MICT和HIIT对超重/肥胖人群的高血压均具有心脏保护作用。然而,短期训练时长(<12周)似乎并不能改善CRF,且HIIT干预可能会产生更高的有氧能力,这种能力似乎会随着干预时间的延长而增强。

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